Rural Health Network Development Planning Program

Post Date

November 3rd 2015

Application Due Date

January 8th 2016

Funding Opportunity Number

HRSA-16-017

CFDA Number(s)

93.912

Funding Instrument Type(s)

Grant

Funding Activity Categories

Health

https://grants.hrsa.gov/2010/Web2External/Interface/FundingCycle/ExternalView.aspx?fCycleID=3bcf6a6e-aa56-4d34-8d79-90894f31ea24

Number of Awards

24

Eligibility Categories

Other

1.ФФФФФФФФФФФФФФФФФ Eligible Applicants A) Eligibility and Geographic Requirements: ФФФФФФФ i.ФФФФФФФФФФФ The applicant organization must be a rural nonprofit or rural public entity that represents a consortium/network of three or more health care providers. ФFederally-recognized tribal entities are eligible to apply as long as they are located in a rural area.Ф The applicant organization must be located in a non-metropolitan county or in a rural census tract of a metropolitan county, and all services must be provided in a non-metropolitan county or rural census tract.Ф Applicant organizations with headquarters located in a metropolitan county that serve non-metropolitan or metropolitan counties are not eligible solely because of the areas they serve. ФIn addition, applicant organizations located in a metropolitan county with branches in a non-metropolitan county are not eligible to apply if they are eligible only because of the areas or populations they serve. To ascertain rural eligibility, please refer to http://datawarehouse.hrsa.gov/RuralAdvisor/RuralHealthAdvisor.aspx. ФThis webpage allows potential applicants to search by county or street address and determine their rural eligibility.Ф The applicant organizationмs county name must be entered on the SF-424 Box 8, Section d. address.Ф If the applicant is eligible by census tract the census tract number must also be included next to the county name. If the applicant organization is owned by or affiliated with an urban entity or health care system, the rural component may still apply as long as the rural entity has its own Employer Identification Number (EIN) and can directly receive and administer the grant funds in the rural area.Ф The rural entity must be responsible for the planning, program management, financial management, and decision making of the project and the urban parent organization must assure the FORHP in writing that, for the grant, they will exert no control over or demand collaboration with the rural entity.Ф This letter must be included in Attachment 10. ФФФФФ ii.ФФФФФФФФФФФ In addition to the several states, only the District of Columbia, Guam, the Commonwealth of Puerto Rico, the Northern Mariana Islands, American Samoa, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau may apply.Ф If applicants are located outside the 50 states, they still have to meet the rural eligibility requirements. ФФФ

Funding

• Estimated Total Funding:

  $2400000

• Award Range:

  $0 - $0

Grant Description

This announcement solicits applications for the Rural Health Network Development Planning Grant Program (ЯNetwork PlanningН).ФФ The purpose of the Network Planning program is to assist in the development of an integrated healthcare network, if the network participants do not have a history of formal collaborative efforts.Ф Health care networks can be an effective strategy to help smaller rural health care providers and health care service organizations align resources and strategies, achieve economies of scale and efficiency, and address challenges more effectively as a group than as single providers.Ф The Network Planning program promotes the planning and development of healthcare networks in order to: (i) achieve efficiencies; (ii) expand access to, coordinate, and improve the quality of essential health care services; and (iii) strengthen the rural health care system as a whole.Ф The health care system is undergoing a significant amount of change and this can be particularly challenging for small rural providers. ФThe goals of the Network Planning program are to help rural providers better serve their communities given changes taking place in health care, as providers move from focusing on the volume of services to focusing on the value of services.Ф This program will bring together key parts of a rural health care delivery system, particularly those entities that may not have collaborated in the past under a formal relationship, to establish and improve local capacity and coordination of care.ФФ The program will support one year of planning with the primary goal of helping networks create a foundation for their infrastructure and focusing member efforts to address important regional or local community health needs. To appropriately address emerging community health needs and challenges, systemic efforts are key.Ф This program will assist communities in establishing a rural health network of health care providers committed to forming relationships with each other and stakeholders.Ф It is expected that the rural health networks will maintain the highest level of access to care, increase the use of health information technology, explore alternative health care delivery models and continue to achieve a high level of quality health care across the continuum of care from prevention and wellness to acute and long term care. Ф A rural health network is defined as an organizational arrangement among at least three separately owned regional or local health care providers that come together to develop strategies for improving health services delivery systems in a community.Ф For example, a critical access hospital, a community health center, and a public health department may collaborate to form a network around a shared purpose.Ф Networks may include a wide range of community partners providing health care including social service agencies, faith-based organizations, mental health agencies, charitable organizations, educational institutions, employers, local government agencies or other entities with an interest in a communityмs health care system.Ф Strong partnerships at the community level with organizations such as those mentioned above, are essential to the overall success of improving population health through alignment of goals and resources. The passage of the Affordable Care Act has provided opportunities for expanded insurance coverage in rural areas.Ф This law has the potential to positively change the payer mix for rural providers but may also create a surge in demand for the existing providers in rural areas.Ф The Affordable Care Act also focuses heavily on improving quality through new incentives in the Medicare program, ranging from avoidable re-admission and hospital-acquired condition penalties for hospitals to value-based reimbursement systems in acute, ambulatory and post-acute reimbursement. ФIn addition to improving the way providers are paid by promoting value-based payment systems; improving the way care is delivered by encouraging integration and coordination of clinical services, population health and patient engagement is another paradigm shift with the passage of the Affordable Care Act.Ф There are also new delivery models related to Accountable Care Organizations, Patient-Centered Medical Homes and payment.Ф At the same time, there is greater consolidation in the health care market and increasing efforts across payers and employers to focus on health promotion and chronic disease management in order to improve patient outcomes and reduce downstream costs.Ф The increasing focus on showing value in health care delivery creates incentives to develop regional systems of care that preserve local autonomy for rural communities while also ensuring access to the appropriate continuum of care for the local service population.Ф Thus, it is more important now than ever for rural providers to participate in efforts such as implementing population health strategies toФ demonstrate the quality and value they provide rural residents.Ф Each of the aims listed below offer activities that can help rural providers work together to adapt to the larger changes in the health care delivery system.ФФ Applicants must clearly identify one of the following focus areas that their network planning activities will address: i.ФФФФФФФФФФФ Population Health 1.ФФФФФФФФФФФФФФФФФ Care Coordination 2.ФФФФФФФФФФФФФФФФФ Patient Engagement 3.ФФФФФФФФФФФФФФФФФ Data Analytics/Health Information Technology 4.ФФФФФФФФФФФФФФФФФ Physician and health care provider-hospital alignment ii.ФФФФФФФФФФФ Alleviating Loss of Local Services and Access to Care 1.ФФФФФФФФФФФФФФФФФ Rural Hospital Closure / Conversion 2.ФФФФФФФФФФФФФФФФФ Rural Hospital Financially at-risk of closing 3.ФФФФФФФФФФФФФФФФФ Enhancing sustainable Emergency Medical Services 4.ФФФФФФФФФФФФФФФФФ Telehealth Applicants Фmust describe planning activities that support at least one of theФ legislative aims described below: Aim #1: Achieve efficiencies The network will focus on identifying ways to achieve better system efficiencies and improve regional and/or local rural health care services. ФPlanning activities may include, but are not limited to: 1.ФФФФФ Conducting a community health and/or provider needs assessments at the regional and/or local level: ┤ФФФФФФФФ Develop and implement a needs assessment in the community; ┤ФФФФФФФФ Identify the most critical need of network partners to ensure their viability; ┤ФФФФФФФФ Identify additional collaborating network partners in the community/region; ┤ФФФФФФФФ Identify and develop a plan to address workforce issues; or ┤ФФФФФФФФ Identify financial resources or gaps available to support services. 2.ФФФФФ Updating a health information technology plan, which helps to improve outcomes for rural patients, based on the current standards of care, reporting enhancements and/or capacity. 3.ФФФФФ Collaborating with the local charitable hospital to develop an implementation plan for addressing community needs identified by the triennial community health needs assessment. ФФФФФФФФФФФФФФФ 4.ФФФФФ Identifying a plan for developing regional systems of care to better meet rural patient concerns.Ф Aim #2: Expand access to, coordinate, and improve the quality of essential health care services The network will focus on ways to build capacity and a network infrastructure that enables entities to coordinate care and increase access to care for rural communities both locally and regionally.Ф Planning activities may include, but are not limited to: 1.ФФФФФ Developing a network business and/or operations plan, which may include: ┤ФФФФФФФФ A formal memorandum of agreement or understanding (MOA/MOU); ┤ФФФФФФФФ A shared mission statement; ┤ФФФФФФФФ A network/governance board or decision making structure; ┤ФФФФФФФФ A set of network bylaws; ┤ФФФФФФФФ The roles and responsibilities of the network partners; or ┤ФФФФФФФФ A business model. 2.ФФФФФ Identifying the degree to which the network members are ready to integrate their functions and share clinical and/or administrative resources. 3.ФФФФФ Assessing appropriateness/readiness for Patient Centered Medical Home accreditation. 4.ФФФФФ Identifying strategies to communicate with the community about changes in the health care landscape and how to maintain access to viable health care services. 5.ФФФФФ Developing a plan to expand the role of emergency medical services within the community. 6.ФФФФФ Developing a plan to ensure access to essential services in communities that have lost a hospital or consider options for ensuring access in areas where the hospital is at risk of closing. Aim #3: Strengthen the rural health care system as a whole Network members will focus on ways to enhance community and partner relationships to promote involvement and participation in network planning activities.Ф Planning activities may include, but are not limited to: 1.ФФФФФ Identifying ways to encourage cross-organizational collaboration and leadership commitment. 2.ФФФФФ Assessing the networkмs sustainability and viability. 3.ФФФФФ Identifying opportunities for the network to better address regional and/or local population health needs. 4.ФФФФФ Identifying and establishing ways to obtain regional and/or local community support/buy-in around the development of the network. Ф 5.ФФФФФ Identify a strategy to leverage broadband connectivity to support health information technology applications in rural communities.Ф This may include developing partnerships to leverage broadband funding through the Federal Communications Commission Health Care Connect program and the United States Department of Agriculture Broadband Program. 6.ФФФФФ Developing a transition plan that assures seamless access to care across a full range of services, in the event of a hospital closure/conversion. Network planning activities that model evidence-based frameworks or models that work are encouraged.Ф Proposals should emphasize innovations and creative approaches in adapting to a changing health care environment that may serve as a model to other rural communities. Management Criteria The applicant organization must have financial management systems in place and demonstrate the capability to manage the grant.Ф The applicant organization must: ┤ФФФФФФФФ Exercise administrative and programmatic direction over grant-funded activities; ┤ФФФФФФФФ Be responsible for hiring and managing the grant-funded staff; ┤ФФФФФФФФ Demonstrate the administrative and accounting capabilities to manage the grant funds; ┤ФФФФФФФФ Have at least one permanent staff at the time a grant award is made; and ┤ФФФФФФФФ Have an Employer Identification Number (EIN) from the Internal Revenue Service.

Contact Information

• Agency

  Department of Health and Human Services

• Office:

  Health Resources and Services Administration

• Agency Contact:

  Department of Health and Human Services, Health Resources and Services Administration
  aberrian@hrsa.gov
  

• Agency Mailing Address:

  Contact Amber Berrian at (301)443-0845 or email aberrian@hrsa.gov

• Agency Email Address:

  aberrian@hrsa.gov